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Organization
HENDERSON PSYCHIATRY CORPORATION
Active
Organization
HENDERSON PSYCHIATRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSY JOHN NP (CEO)
(702) 454-0201
Entity
Organization
Contact information
Practice address
1070 WIGWAM PKWY STE 100, HENDERSON, NV 89074-8178
(702) 454-0201
Mailing address
9490 STONE CASTLE WAY, LAS VEGAS, NV 89123-5904
(702) 883-0349
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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